1. Mm, I love this
so much.
Copy !req
2. The lake, the fir trees,
the fresh air...
Copy !req
3. Good. You have
14 minutes to enjoy it.
Copy !req
4. We are 4 hours and 10 minutes
away from the resort,
Copy !req
5. and your Prenatal Massage and
Aura Cleansing begins at 5:45,
Copy !req
6. given six rest stops
at eight minutes apiece.
Copy !req
7. Wait, you've timed
my pee breaks?
Copy !req
8. Generously.
Copy !req
9. Shaun, we're supposed
to be relaxing.
Copy !req
10. Schedules
are not relaxing.
Copy !req
11. I find them...
very soothing.
Copy !req
12. Okay.
Copy !req
13. - 14 minutes it is.
- 13.
Copy !req
14. 14 is fine.
Copy !req
15. Oh, that poor dog.
Copy !req
16. 47-year-old male,
multi-impalement, disoriented,
Copy !req
17. significant blood loss.
Copy !req
18. Ultrasound
and surgical tape.
Copy !req
19. These spikes...
Copy !req
20. Wood and metal?
Copy !req
21. We— We were
trimming trees and—
Copy !req
22. and a shovel got sucked
into the wood chipper.
Copy !req
23. - You work with him?
- Sometimes.
I'm— I'm his son.
Copy !req
24. I count 20 pieces.
Airway's patent,
and he's got good pulses.
Copy !req
25. Lalo? He's one
of my patients.
Copy !req
26. No significant free fluid
in the abdomen.
Copy !req
27. No bronchospasms
or wheezing.
Copy !req
28. No. Fluid's accumulating
in the pericardium.
Copy !req
29. You jostle that spike,
he could bleed out.
Copy !req
30. We'll have to do it
in the O.R.
Copy !req
31. Dad?
Dad, can you hear me?
Copy !req
32. - Aah!
- No.
Copy !req
33. - No, no, no, Dad!
- Oh!
Copy !req
34. - No!
- Aah!
Copy !req
35. Let's get him
to the O.R.!
Copy !req
36. He couldn't have
gotten far.
Copy !req
37. We don't know that,
Copy !req
38. and that ground
is very uneven,
Copy !req
39. and we know
from experience,
Copy !req
40. - the woods
can be dangerous.
- Shh.
Copy !req
41. Hey, there, buddy.
Copy !req
42. We're here to help.
Copy !req
43. It is having
trouble breathing.
Copy !req
44. Leg and multiple
rib fractures.
Copy !req
45. Poor little guy.
Copy !req
46. I need to reduce
the rib fractures.
Copy !req
47. - Hold it steady.
- Uh, okay.
Copy !req
48. Hang on, buddy.
It'll be okay.
Copy !req
49. We need to get it
to a veterinary hospital.
Copy !req
50. Vince?
Copy !req
51. I gotta get you
to St. Bon's.
Copy !req
52. I need you
to do it here.
Copy !req
53. I'm a first-year resident.
Copy !req
54. That's unsupervised surgery.
Copy !req
55. I can't go
to the hospital.
Copy !req
56. There was a gang member
at that party.
Copy !req
57. Me being there was
a patrol violation.
Copy !req
58. Cops get that bullet,
I'm going back to prison.
Copy !req
59. Just go to your P.O.
Tell him the truth.
Copy !req
60. 'Cause the criminal justice
system is always fair,
Copy !req
61. especially to guys
who look like me.
Copy !req
62. I finally got my life
back on track.
Copy !req
63. I have a good job.
Copy !req
64. I'm trying to work
things out with Viva.
Copy !req
65. I'm watching my baby
twice a week.
Copy !req
66. I go back inside,
I could lose everything.
Copy !req
67. Danni... please.
Copy !req
68. All right, the bullet's
close to the surface.
Copy !req
69. It's more of a procedure
than a surgery.
Copy !req
70. Thank you.
Copy !req
71. All right, I gotta get
some stuff first.
Copy !req
72. What's the strategy?
Copy !req
73. We should start
Copy !req
74. with the most
life-threatening spikes—
Copy !req
75. these two in the chest,
maybe the abdomen...
Copy !req
76. We can't risk
a major hemorrhage so soon.
Copy !req
77. Do the easier ones,
Copy !req
78. buy time for
the transfusions to work.
Copy !req
79. Oh.
Copy !req
80. Dr. Reznick's right.
Copy !req
81. We start with
the distal extremities.
I'll take his leg.
Copy !req
82. You get the pieces
in his right arm.
I'll take his left.
Copy !req
83. Now that there's an adult
in the room...
Copy !req
84. Always a pleasure.
Copy !req
85. You leaving, I mean.
Copy !req
86. Hey.
Copy !req
87. So, after basketball
on Wednesday,
Copy !req
88. I'm introducing Clay
to the wonders of Su Cai Bao.
Copy !req
89. You in?
Copy !req
90. Assuming that's food, sure.
Copy !req
91. Great. It's a date.
8:00 p.m. my place.
Copy !req
92. Didn't you just finish
a night shift?
Copy !req
93. Too much caffeine.
Copy !req
94. I'm building
a trauma simulator
Copy !req
95. to practice removing
foreign bodies.
Copy !req
96. You're weird.
Copy !req
97. You'll probably be
my boss someday.
Copy !req
98. First grade, I begged
my parents for a puppy.
Copy !req
99. Tessa— chocolate Lab,
sweetest little face.
Copy !req
100. Next morning, Tessa peed
on my dad's briefcase.
Copy !req
101. He returned her
that night.
Copy !req
102. That doesn't sound
like good parenting.
Copy !req
103. It wasn't.
Copy !req
104. The dog's got a damaged spleen,
broken ribs,
Copy !req
105. and a fractured radius,
and skin lacerations.
Copy !req
106. - He'll need—
- An ex-lap
and thoracotomy.
Copy !req
107. I'm a surgeon at San Jose
St. Bonaventure Hospital.
Copy !req
108. We should go.
Copy !req
109. When are you
planning to do it?
Copy !req
110. I'm not.
Copy !req
111. I don't work without
up-front payment,
Copy !req
112. and since we don't know
the dog's owners...
Copy !req
113. Well, we'll pay.
Copy !req
114. That...
could be expensive.
Copy !req
115. Quite.
Copy !req
116. I could slot him
in tomorrow morning.
Copy !req
117. Well, I guess we could
stay in a motel?
Copy !req
118. I mean, we should really
be here for Buddy.
Copy !req
119. I've named him Buddy.
Copy !req
120. Whatever
its real name is,
Copy !req
121. it is a dog
and not our dog.
Copy !req
122. And we are going to miss
your Prenatal Massage.
Copy !req
123. Buddy needs us more than I need
my aura cleansed, Shaun.
Copy !req
124. Okay.
Copy !req
125. It is your babymoon.
Copy !req
126. Ready?
Copy !req
127. It's just a fragment.
Copy !req
128. The bullet must have shattered.
Copy !req
129. - It's still in me?
- Yeah.
Copy !req
130. There's damage
deeper in your leg.
Copy !req
131. I can't locate
the rest of the bullet
Copy !req
132. unless I cut further
in your muscle.
Copy !req
133. So cut.
Copy !req
134. I need a second opinion.
Copy !req
135. Hey.
Copy !req
136. Question—
if a bullet's stuck
Copy !req
137. behind
the vastus medialis...
Copy !req
138. This for your simulator?
Copy !req
139. Yeah, it's a scenario
I'm practicing.
Copy !req
140. Um, how do you decide
if you leave it in?
Copy !req
141. Well, it depends
on the imaging.
Copy !req
142. What if you're
going in blind?
Copy !req
143. Well, it depends
on the angle of entry,
Copy !req
144. caliber of the bullet,
exact location.
Copy !req
145. Okay.
I'll figure it out.
Copy !req
146. Danni...
Copy !req
147. how about you tell me
what's actually going on?
Copy !req
148. Removing the left
lateral mid-thigh spike.
Copy !req
149. Irrigating the spike
near the sternum.
Copy !req
150. No signs
of pneumothorax.
Copy !req
151. Starting on the shoulder.
Copy !req
152. - Lost the pulse.
He's in V-tach.
- Get the internal paddles.
Copy !req
153. Setting up
the internal paddles.
Copy !req
154. He's coding.
Where are those paddles?
Copy !req
155. Almost ready.
Copy !req
156. There's no time.
Starting cardiac massage.
Copy !req
157. Push 1 milligram epi.
Copy !req
158. We've got sinus rhythm.
Copy !req
159. Blood pressure's
normalizing.
Copy !req
160. Good job, Dr. Park.
Copy !req
161. I'll do more
sharp dissection.
Copy !req
162. His body
can't take any more.
Copy !req
163. We'll get a panscan CT, CTA,
transfuse him,
Copy !req
164. and resume
in the morning.
Copy !req
165. Nine spikes down,
11 to go.
Copy !req
166. Definitely landed
in the medial compartment.
Copy !req
167. Blood flow?
Copy !req
168. Good pulses.
Intact nerve function
in the leg.
Copy !req
169. If he was in the O.R.,
we'd leave the bullet in.
Copy !req
170. Got it.
Thank you.
Copy !req
171. I'll pack the wound
and send him home.
Copy !req
172. Hold on.
Can you take me off video?
Copy !req
173. Yeah, I'm not a big fan
of being lied to.
Copy !req
174. It won't happen again.
Copy !req
175. Thanks, Asher.
Copy !req
176. There's... a stain
on the floor.
Copy !req
177. Mmm.
Copy !req
178. Now there's a pillow
on the floor.
Copy !req
179. Yeah, they should really
clean that carpet.
Copy !req
180. Let me call
the front desk.
Copy !req
181. Ugh, it's sticky!
Copy !req
182. Okay, maybe—
maybe I overreacted.
Copy !req
183. You did.
Copy !req
184. I— I thought
you loved animals.
Copy !req
185. I love rabbits and fish.
Copy !req
186. They don't slobber or jump
on you or make messes.
Copy !req
187. Well, you know, Shaun,
Copy !req
188. someone's about to come
into our life
Copy !req
189. who's going to slobber
and jump on us and make messes.
Copy !req
190. If you are talking
about our son—
Copy !req
191. Yes, of course,
I'm talking about our son.
Copy !req
192. Sorry.
Copy !req
193. Clearly, we are
both stressed.
Copy !req
194. I don't think
I'm stressed.
Copy !req
195. Fine.
Copy !req
196. Only I am.
Copy !req
197. And tired.
Copy !req
198. And... I'm gonna
get ready for bed.
Copy !req
199. Ew!
Copy !req
200. Something's wrong.
Copy !req
201. That's infected.
Copy !req
202. If I don't get the rest
of the bullet out,
you're gonna go septic.
Copy !req
203. So you can
do it here, right?
Copy !req
204. I shouldn't.
Copy !req
205. You got me this far.
Copy !req
206. Please.
Copy !req
207. Okay. I'm gonna
need some help.
Copy !req
208. During the surgery,
we discovered
Copy !req
209. sacral and lumbar fractures.
Copy !req
210. What does that mean?
Copy !req
211. The dog will have
trouble walking
Copy !req
212. and will be incontinent.
Copy !req
213. So...
Copy !req
214. a second surgery?
Copy !req
215. Unlikely to be effective.
Copy !req
216. The dog would still be at risk
for infections, UTIs,
Copy !req
217. and will require
constant care.
Copy !req
218. Euthanasia
would be more humane.
Copy !req
219. We brought this dog here
to save him,
Copy !req
220. not have him put down.
Copy !req
221. I'm gonna find his family.
Copy !req
222. And if I can't,
I will find him a new family.
Copy !req
223. And you're gonna find a surgery
to fix his incontinence.
Copy !req
224. Dr. Sinclair is the expert
in veterinary medicine.
Copy !req
225. If he cannot think of
an effective surgery
Copy !req
226. for incontinence,
there probably isn't one.
Copy !req
227. In which case,
it's very unlikely
Copy !req
228. the dog
will be adopted.
Copy !req
229. Then we'll adopt him.
Copy !req
230. I will find a surgery.
Copy !req
231. Hey.
Where are the supplies?
Copy !req
232. I didn't bring them.
Copy !req
233. Danni, you shouldn't
be doing this.
Copy !req
234. This is straight-up
surgery.
Copy !req
235. Go home.
Copy !req
236. Let me help you take him
back to the hospital.
Copy !req
237. - That's not happening.
- Why not?
Copy !req
238. If you weren't gonna do this,
why'd you even come?
Copy !req
239. Because I— I didn't want
to desert you.
Copy !req
240. So don't.
Copy !req
241. I'll go get
the supplies myself.
Copy !req
242. I just need you
to talk me through it.
Copy !req
243. You won't even
have to touch him.
Copy !req
244. If this ever gets out,
I'll take the fall.
Copy !req
245. This is why he went
into V-tach.
Copy !req
246. The spike in his shoulder damaged
Copy !req
247. every critical structure
in the area.
Copy !req
248. We need to do a carotid
to subclavian bypass
before we pull it out.
Copy !req
249. Risks sending him
into V-tach again.
Copy !req
250. Well, we need
to remove the spike.
Copy !req
251. Unless we remove his arm.
Copy !req
252. In his current condition,
it's a less risky surgery.
Copy !req
253. Comes down to what Lalo's
willing to risk.
Copy !req
254. And we can't ask him
because he's too unstable
Copy !req
255. to take him off
the ventilator.
Copy !req
256. We could ask his son.
Copy !req
257. He's 16.
Copy !req
258. He's not authorized
to make medical decisions.
Copy !req
259. Sure, but he'd have
a better idea than us
Copy !req
260. what his father
would want.
Copy !req
261. Talk to him.
Copy !req
262. Oh, Buddy.
Copy !req
263. It's okay.
Copy !req
264. We're gonna find your humans.
Copy !req
265. Are you okay?
Copy !req
266. Yep. All good.
Copy !req
267. Were you trying
to pet the dog?
Copy !req
268. No. Mmm-mmm.
Copy !req
269. You should never touch
an injured animal
near its wound.
Copy !req
270. I know.
Copy !req
271. I'm gonna start putting up
lost dog fliers.
Copy !req
272. Making the incision.
Copy !req
273. Dissecting at the muscle
to free up the purulence.
Copy !req
274. What's her name?
Copy !req
275. Lila.
Copy !req
276. What's she like?
Copy !req
277. The first time she saw snow,
she ran outside—
Copy !req
278. no gloves, no hat.
Copy !req
279. I-I had to drag her back in
before she—
Copy !req
280. before she turned blue.
Copy !req
281. She's like me—
never listens to anyone.
Copy !req
282. Mmm.
Copy !req
283. Sounds like Powell, actually.
Copy !req
284. I know I can be...
a bit much.
Copy !req
285. My parents
were really tough.
Copy !req
286. I learned at a young age
that if I didn't push back,
Copy !req
287. hard, that I'd be
pushed around.
Copy !req
288. So it helped me,
Copy !req
289. especially
after I lost my leg.
Copy !req
290. My med school advisor told me
that I shouldn't be a surgeon
Copy !req
291. because I wouldn't be able to
stand for hours in the O.R.
Copy !req
292. But I can.
Copy !req
293. And I am.
Copy !req
294. Danni, are you okay?
Copy !req
295. It's Audrey.
Copy !req
296. I called
out of my shift this morning.
Copy !req
297. I just told her it was
a family emergency.
Copy !req
298. Oh, she's been calling
and texting.
Copy !req
299. This is not good.
This is not good.
Copy !req
300. I know.
Copy !req
301. Wait, wait, wait!
Where are you—
Copy !req
302. Just, shh. Just...
Copy !req
303. - Hey.
- Hey, is everything okay?
Copy !req
304. Yeah, yeah, a good friend's
having some issues.
Copy !req
305. We're still
in the middle of it.
Copy !req
306. Oh.
Copy !req
307. After what happened with Perez,
I was worried.
Copy !req
308. Just wanted
to check on you.
Copy !req
309. Thanks.
I totally get it.
Copy !req
310. - You'll be in tomorrow?
- Yeah.
Copy !req
311. What was that?
Copy !req
312. Hey.
Copy !req
313. If we remove the spike
from your dad's shoulder,
Copy !req
314. it could cause complications
that would kill him.
Copy !req
315. How likely?
Copy !req
316. Maybe a 5% to 10% chance.
Copy !req
317. The safer option would be
to amputate the arm.
Copy !req
318. So you're asking
me to decide
Copy !req
319. whether to cut off
my dad's arm?
Copy !req
320. No, we're not.
Copy !req
321. We just want to figure out
what your dad would want
Copy !req
322. if he was awake.
Copy !req
323. Do you have any other
support system?
Copy !req
324. Family, friends
who help out?
Copy !req
325. Not really.
Copy !req
326. Mom died, and the rest
of the family's in El Salvador.
Copy !req
327. Has he ever worked
with other gardeners?
Copy !req
328. I mean, me.
I help out most mornings
before school.
Copy !req
329. Um, he fell off a roof
last winter.
Copy !req
330. Got a concussion.
Copy !req
331. I picked up some slack,
and it was fine.
Copy !req
332. I-I know
this is different,
Copy !req
333. but he always says, "We stick
together, we'll find a way."
Copy !req
334. If cutting off his arm
means he'll live...
Copy !req
335. then do it.
Copy !req
336. That's what he'd want.
Copy !req
337. Why are you talking to me
about operating on a dog?
Copy !req
338. Lea asked me to.
Copy !req
339. She is very stressed,
and I don't know why.
Copy !req
340. Well, considering what
she's been through, you know?
Copy !req
341. But she knows her pregnancy
is safe now.
Copy !req
342. Well, you don't get
over something like that
in— in a week.
Copy !req
343. Okay, s-so how much time
will she need?
Copy !req
344. I don't know, Shaun.
Copy !req
345. Maybe this isn't even
the main issue, you know?
Copy !req
346. Mmm.
Copy !req
347. Maybe Lea is worried
about being a mom?
Copy !req
348. Well, she wouldn't
be the first.
Copy !req
349. Aren't you a little bit worried
about being a dad?
Copy !req
350. A little.
Copy !req
351. Crying babies
can be very loud,
Copy !req
352. and their bowel movements
and spit-up
Copy !req
353. can be very disgusting
and smelly.
Copy !req
354. But I have
noise-reducing earplugs
Copy !req
355. and peppermint oil
for under my nose.
Copy !req
356. And I will keep a supply
of surgical smocks at home.
Copy !req
357. You've certainly
gamed that out, huh?
Copy !req
358. Yes. How do I help Lea
be less worried?
Copy !req
359. I don't know, Shaun.
Copy !req
360. You don't know
what the issue is, right?
Copy !req
361. So I would talk to her
Copy !req
362. and tell her
that you've noticed
Copy !req
363. she's been a little bit
stressed lately,
Copy !req
364. and ask her
what's going on.
Copy !req
365. And send me
the doggy imaging.
Copy !req
366. He's stable, for now.
Copy !req
367. I'm so sorry.
- You should be.
Copy !req
368. If you're gonna blame anybody,
blame me.
Copy !req
369. Oh, I do.
This was unethical, stupid,
Copy !req
370. and if he dies,
possibly criminal.
Copy !req
371. Vince would've died
of sepsis.
Copy !req
372. - So call an ambulance.
- Then what?
Copy !req
373. EMTs can't force him
to go to the hospital.
Copy !req
374. They can if he's
unconscious.
Copy !req
375. But he could be dead
by then.
Copy !req
376. The only way to make sure
that he lives
Copy !req
377. is to operate here.
Copy !req
378. You're a trauma surgeon.
It would be simple and ethical.
Copy !req
379. - Who is this guy?
- I told you.
Copy !req
380. He's a friend of mine
from the Navy.
Copy !req
381. Who's on parole...
for what?
Copy !req
382. - That doesn't matter.
- Does to me.
Copy !req
383. Vince was the first one
to the accident.
Copy !req
384. He tourniqueted my leg.
Copy !req
385. He held my hand.
He comforted me.
Copy !req
386. He was the only person
that day
Copy !req
387. that looked me
straight in the eyes.
Copy !req
388. Everybody else
was just too scared,
Copy !req
389. too freaked out...
too disgusted.
Copy !req
390. I'm sorry.
Copy !req
391. Will you give us a second?
Copy !req
392. If I hadn't warned you
off of that surgery
Copy !req
393. four months ago,
Copy !req
394. you could've ended up worse off
or dead on the table.
Copy !req
395. And whether you knew it
or not,
Copy !req
396. you needed me.
Copy !req
397. Right now, Audrey,
I need you.
Copy !req
398. I will help you
with your friend.
Copy !req
399. And then we'll deal
with what you did.
Copy !req
400. I put up
tons of fliers,
Copy !req
401. called around
to all the shelters
Copy !req
402. and vet hospitals and...
Copy !req
403. - Did Glassman have ideas
at least?
- Yes.
Copy !req
404. That I should
talk to you.
Copy !req
405. I've noticed
you are stressed,
Copy !req
406. and I don't know
exactly why,
Copy !req
407. but maybe it is because you are
worried about motherhood.
Copy !req
408. I meant about the surgery
for the dog.
Copy !req
409. But... I am worried, yeah.
Copy !req
410. You shouldn't be.
Copy !req
411. You'll be great.
Copy !req
412. Thanks.
Copy !req
413. And I know you'll be
a great dad to our son,
Copy !req
414. but what if we're
incompatible as parents?
Copy !req
415. We can't even agree
how to wash dishes.
Copy !req
416. And look at us
with this dog.
Copy !req
417. We're arguing.
Buddy hates me.
Copy !req
418. I lied.
Copy !req
419. He snapped at me after I petted
too close to his stitches.
Copy !req
420. I thought so.
Copy !req
421. We will work as a team
and figure it out.
Copy !req
422. But... what if we
don't know how?
Copy !req
423. We've both had pretty lousy
parental role models.
Copy !req
424. I don't think I'm like
my parents at all.
Copy !req
425. And I don't plan
to treat our children
Copy !req
426. like they did
me and Steve.
Copy !req
427. I can see my parents in me
in ways I really don't like.
Copy !req
428. I can be stubborn like my dad
and flaky like my mom.
Copy !req
429. I can't tell you
how many times
Copy !req
430. I was the last kid
at after-school
Copy !req
431. because she forgot
to pick me up.
Copy !req
432. What if I mess up
like they did?
Copy !req
433. You probably will
mess up sometimes,
Copy !req
434. in those ways—
other ways, too.
Copy !req
435. I probably will
as well.
Copy !req
436. But we will support
each other and each...
Copy !req
437. I know how to help
the dog.
Copy !req
438. I'm gonna inject
more lidocaine.
Copy !req
439. Turn on the ultrasound probe.
Copy !req
440. How'd you end up
in prison?
Copy !req
441. When I got back from
Afghanistan, I couldn't sleep.
Copy !req
442. I would lie in bed
just staring at the door
Copy !req
443. waiting for someone
to come at me and...
Copy !req
444. I-I was in a bar,
Copy !req
445. and I thought
some guy looked at me wrong.
Copy !req
446. Are you getting help?
Copy !req
447. I'm on meds, in therapy.
Copy !req
448. I don't want to be
what I was.
Copy !req
449. I want to be a good man
for my family.
Copy !req
450. I don't see
the bullet.
Copy !req
451. It must have migrated.
Copy !req
452. Three centimeters deep
and medial to the femur
Copy !req
453. in the adductor magnus.
Copy !req
454. And what does that mean?
Copy !req
455. It's harder
to get to now.
Copy !req
456. We can do it.
Copy !req
457. This'll hurt.
Copy !req
458. Aah!
Copy !req
459. Let's amputate.
Book the O.R.
Copy !req
460. On it.
Copy !req
461. I think we should
save the arm.
Copy !req
462. Did you not hear
what Dylan just said?
Copy !req
463. I heard a son
who'll do anything
to make sure his dad lives.
Copy !req
464. But that's not necessarily
what the dad would want.
Copy !req
465. Lalo's a poor, undocumented
manual laborer.
Copy !req
466. No support system.
Copy !req
467. If he can't work as a gardener,
then what?
Copy !req
468. Dylan told us what.
They'll find a way.
Copy !req
469. And Dylan will drop out
of school to take care of him.
Copy !req
470. He just told us how he works
for his dad most mornings.
Copy !req
471. Already took care of him
when he had a concussion.
Copy !req
472. The future Lalo spent building
his son would disappear.
Copy !req
473. You know what else
would ruin his future?
Copy !req
474. Having a dead dad.
Copy !req
475. Lalo would
take the risk.
Copy !req
476. Morgan heard everything
you did
Copy !req
477. and came away
with a different impression.
Copy !req
478. She's not a parent.
Copy !req
479. That's very patronizing.
Copy !req
480. But that doesn't mean
he's wrong.
Copy !req
481. - You're confident
you can save his arm?
- Very.
Copy !req
482. Then let's do it.
Copy !req
483. What a dick move.
Copy !req
484. I am so sick of being told
that childless people
Copy !req
485. can't understand
what it means to love someone.
Copy !req
486. There's love and then
there's being a parent.
Copy !req
487. In nine months or so,
you'll get it.
Copy !req
488. After drilling the lamina
from L4 to S1,
Copy !req
489. we will use
a Kerrison punch
Copy !req
490. to remove fragments
2 millimeters at a time,
Copy !req
491. then support the spine
with screws and rods.
Copy !req
492. And that
is how we will fix
Copy !req
493. the incontinence
and leg weakness.
Copy !req
494. And by we, I mean you.
Copy !req
495. A little outside
my wheelhouse.
Copy !req
496. That's why they
called in the bullpen.
Copy !req
497. Ah, yes.
You're an expert... on humans.
Copy !req
498. I'm still very unsure.
Copy !req
499. Why can't you just
do the surgery?
Copy !req
500. Buddy is an innocent little guy
who really needs our help.
Copy !req
501. And I've put in a ton of work
with Shaun and Dr. Glassman
Copy !req
502. to find a way
that could save him.
Copy !req
503. And— And I recognize
you have valid questions.
Copy !req
504. And I know, my hormones
are probably playing
a role right now,
Copy !req
505. and my attachment to a dog
I met yesterday
Copy !req
506. probably doesn't make sense
to you, but it is real.
Copy !req
507. And I really need
Buddy to be okay.
Copy !req
508. So I'm asking you to please
set aside your concerns
Copy !req
509. and please help us
help Buddy.
Copy !req
510. Who's paying for this?
Copy !req
511. Um...
Copy !req
512. Seriously?
Copy !req
513. Gah!
Copy !req
514. I need longer forceps.
Copy !req
515. - God.
- We're almost there.
Copy !req
516. No.
Copy !req
517. Vince? Vince!
Copy !req
518. It's cold.
Copy !req
519. Poor pulses.
Copy !req
520. The fragment must have caused
a thrombosis.
Copy !req
521. I'm calling it.
Push more fluids.
Copy !req
522. I need an ambulance
at 302 West Holden Drive,
Apartment 2A.
Copy !req
523. We're gonna try to save
your dad's arm.
Copy !req
524. - Did— Did something
get better?
- No.
Copy !req
525. But we decided
it's worth the risk.
Copy !req
526. Why did you even
ask me then?
Copy !req
527. So I could screw up
and make the wrong decision?
Copy !req
528. You didn't screw up.
Copy !req
529. He hasn't taken
a weekend off in six years.
Copy !req
530. He— He wears old clothes
so I can have new ones
for school.
Copy !req
531. He's given up his whole life
t-to make sure I'm—
Copy !req
532. I'm happy and healthy
and safe.
Copy !req
533. - I'm just trying
to help him and...
- You did.
Copy !req
534. You gave us
the information we needed.
Copy !req
535. Right.
Copy !req
536. Ten-blade.
Copy !req
537. Twenty's better.
Copy !req
538. You worried about a scar?
It's a dog.
Copy !req
539. Dogs like scars, actually.
Copy !req
540. They think it makes them
look cool.
Copy !req
541. A Veterinary Medical Review
longitudinal study
Copy !req
542. showed that post-op
recovery outcomes—
Copy !req
543. Shaun, the man knows
how to cut into a dog.
Copy !req
544. But he may not have read
the study, which—
Copy !req
545. I've already made
the incision...
Copy !req
546. with a ten-blade.
Copy !req
547. Preparing to place
the 3 millimeter pedicle screw.
Copy !req
548. A 5 millimeter
screw's better.
Copy !req
549. Removing the bullet.
Copy !req
550. Slowly release
the proximal clamp
Copy !req
551. and let's
look for flow.
Copy !req
552. It's good flow.
Copy !req
553. Vascular repair's hemostatic.
Copy !req
554. Let's finish this up
and get him off to recovery.
Copy !req
555. Bag the bullet
for forensic evidence.
Copy !req
556. Hey.
Copy !req
557. How'd it go?
Copy !req
558. We won't know
until he wakes up.
Copy !req
559. It meant a lot
that you came.
Copy !req
560. How can you say no
to a dog?
Copy !req
561. Yeah.
Copy !req
562. You know, when Maddie
was a newborn...
Copy !req
563. we were worried
that she wasn't...
Copy !req
564. latching on, you know?
Copy !req
565. But she did.
Copy !req
566. And then we were worried
that she wasn't crawling,
Copy !req
567. and she did.
Copy !req
568. And then we were worried
she wasn't talking,
Copy !req
569. and...
Copy !req
570. You're gonna be a mom.
Copy !req
571. You're gonna worry,
that goes with the gig.
Copy !req
572. 99% of the time,
everything works out just fine.
Copy !req
573. What was Maddie like?
Copy !req
574. Maddie...
Copy !req
575. She never walked anywhere,
she always ran.
Copy !req
576. She was angry... a lot.
Copy !req
577. That was her default.
Copy !req
578. But she loved
so deeply.
Copy !req
579. It was like you were
the only one in the world.
Copy !req
580. I wish I'd known her.
Copy !req
581. Why'd you ask me
about Maddie?
Copy !req
582. I just can't imagine
Copy !req
583. going through
what you went through.
Copy !req
584. And I am... so scared...
Copy !req
585. of that 1%.
Copy !req
586. After Maddie died, I didn't
think that I was gonna make it.
Copy !req
587. There were times that I hoped
that I wouldn't.
Copy !req
588. But I did.
Copy !req
589. And then I met Shaun.
And then I met you.
Copy !req
590. And I'm grateful
every single day
Copy !req
591. because I love you both
so much.
Copy !req
592. You and Shaun have love,
Copy !req
593. and you have faith
in each other.
Copy !req
594. If I was a betting man...
Copy !req
595. I would bet the house
on the both of you.
Copy !req
596. We're on full flow.
Removing the spike.
Copy !req
597. Low blood flow
to the brain.
Copy !req
598. How's the NIRS?
Copy !req
599. 61%.
Copy !req
600. Graft must have
caused an obstruction.
Copy !req
601. I can fix it. Clamps.
Copy !req
602. 11-blade
and 6-0 prolene.
Copy !req
603. NIRS?
Copy !req
604. 56%.
Dropping fast.
Copy !req
605. Below 50,
he risks brain damage.
Copy !req
606. We should call this off
and ligate the subclavian.
Copy !req
607. No. We're this close
to saving his arm.
Copy !req
608. - More sutures.
- 52%.
Copy !req
609. Dr. Park?
Copy !req
610. Dr. Park.
Copy !req
611. Get ready to flush
and unclamp.
Copy !req
612. Go.
Copy !req
613. - Starting flush.
- Unclamping.
Copy !req
614. Arm's pink.
Copy !req
615. NIRS at 70%
and climbing.
Copy !req
616. 10 spikes to go.
Copy !req
617. If the surgery fails
and he is still incontinent...
Copy !req
618. I found a waterproof dog bed
he might like.
Copy !req
619. For our place?
Copy !req
620. Buddy is...
Copy !req
621. very calming to pet.
Copy !req
622. Oh.
Copy !req
623. I think
he needs to pee.
Copy !req
624. We need to get him
to the pad.
Copy !req
625. Hey, Buddy,
you gotta hold it in
Copy !req
626. until we get you
over there.
Copy !req
627. - Okay, not yet, Buddy.
- Almost there, Buddy.
Copy !req
628. No pee pee.-Keep holding it in.
Copy !req
629. Not yet, no pee pee.
Copy !req
630. - Almost there.
- Keep holding it in.
Copy !req
631. There we go.
All right.
Copy !req
632. Time for urination.
Copy !req
633. Go pee pee.
Copy !req
634. - Okay, oh.
- Oh, oh!
Copy !req
635. He did it.
Copy !req
636. Oh, we did it.
Copy !req
637. - We got him to pee.
- We did it.
Copy !req
638. Oh, oh.
Copy !req
639. Oh, good boy.
Copy !req
640. I'm thinking
letters in their records,
Copy !req
641. remediation plans,
Copy !req
642. and a two-month probationary
direct supervision.
Copy !req
643. One more misstep,
they're out.
Copy !req
644. That's appropriate...
Copy !req
645. for Asher.
Copy !req
646. It's not easy to draw a line
between what they did.
Copy !req
647. Asher never picked up
an instrument
Copy !req
648. until you were
supervising him.
Copy !req
649. And Powell has shown
a pattern of disobedience
Copy !req
650. even from
her first surgery.
Copy !req
651. Wolke's made mistakes
of his own.
Copy !req
652. And he knows that.
Copy !req
653. Does Powell?
Copy !req
654. Listen, your department,
your call.
Copy !req
655. But you almost lost Shaun
as a friend this year.
Copy !req
656. And I'm worried
you're acting out of fear
of losing another.
Copy !req
657. Color looks good.
Copy !req
658. Strong radial pulse.
Copy !req
659. Now I want you to try
to move your fingers,
Copy !req
660. very slow,
just a little.
Copy !req
661. Okay.
Copy !req
662. Is that good?
Copy !req
663. It's great.
Copy !req
664. Muchas gracias, Doctor.
Copy !req
665. You saved my life.
Copy !req
666. What's wrong?
Copy !req
667. Um, they— they asked me
what you would—
Copy !req
668. you know,
about your arm.
Copy !req
669. I told them
to amputate.
Copy !req
670. I made
the wrong choice.
Copy !req
671. Mijo, whatever you did,
Copy !req
672. you were there for me.
Copy !req
673. I've never been
so proud of you.
Copy !req
674. I love you, too.
Copy !req
675. So, I started looking
for dog walkers.
Copy !req
676. They're not cheap,
but what is, so...
Copy !req
677. Cooper!
Copy !req
678. You're Lea?
We just saw the flier.
Copy !req
679. We have been searching
for days.
Copy !req
680. We will, of course,
pay you back
for any expenses.
Copy !req
681. Good.
It's $22,563.
Copy !req
682. Yeah, we could work
something out.
Copy !req
683. You saved the arm.
Copy !req
684. Guess you were right.
Copy !req
685. Or I was lucky.
Copy !req
686. I almost lost him.
Copy !req
687. Well, you didn't.
Copy !req
688. Yeah, I think I pushed too hard
on this surgery.
Copy !req
689. And I definitely said things
to you that weren't fair.
Copy !req
690. Last week
Kellan told me
Copy !req
691. he wasn't coming home
for the holidays.
Copy !req
692. Going on a trip
with his roommates.
Copy !req
693. Feels like
I'm losing him.
Copy !req
694. Like I've been
a crappy father.
Copy !req
695. You're not.
Copy !req
696. Anyway... I'm sorry.
Copy !req
697. My implantation failed.
Copy !req
698. It's been, what,
nine days?
Copy !req
699. Blood tests wouldn't
be fully accurate.
Copy !req
700. I could feel
I was pregnant...
Copy !req
701. and...
Copy !req
702. then I wasn't.
Copy !req
703. I'll be here.
Copy !req
704. Anytime
you need a friend.
Copy !req
705. I just might.
Copy !req
706. Probation.
Copy !req
707. I'm sorry.
Copy !req
708. We're letting you go
from the program.
Copy !req
709. What about Vince?
Copy !req
710. If you have any leeway
not to report him...
Copy !req
711. The bullet
was misplaced.
Copy !req
712. Misplaced?
Copy !req
713. So I don't see the point
in alerting the police.
Copy !req
714. Thank you.
Copy !req
715. Danni,
this wasn't an easy call.
Copy !req
716. You gotta learn
to compromise sometimes.
Copy !req
717. If you don't,
it's gonna hurt you,
Copy !req
718. not just as a doctor,
but in life.
Copy !req
719. I'm sorry it worked
out this way.
Copy !req
720. I'm not.
Copy !req
721. If I'd done
anything else,
Copy !req
722. Vince would be dead
or headed back to prison.
Copy !req
723. And either way, his family
would be destroyed.
Copy !req
724. So I did
the right thing.
Copy !req
725. I'll live with
the consequences.
Copy !req
726. Good luck.
Copy !req
727. You, too.
Copy !req
728. I'm gonna miss you, Buddy.
Copy !req
729. Cooper.
Copy !req
730. But I'll write you
every week.
Copy !req
731. - He won't get it.
- I was kidding.
Copy !req
732. You're a good boy.
Copy !req
733. Look, I know
everyone says this to you,
Copy !req
734. but I really mean it.
Copy !req
735. He will be okay.
Copy !req
736. Yeah, he will.
Copy !req
737. We still have time to make
the 11:00 a.m. nature walk.
Copy !req
738. Mmm.
Copy !req